Impacting Lives LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IMPACTING LIVES LLC

Practice address

2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624

Phone

(662) 404-7177

Fax

(662) 769-3839

NPI assigned

Jan 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Jean Vinson, NPNPI 1003331893

Title

Owner

Phone

(662) 404-7177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Jean Vinson, FNP-C

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1003331893
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1063370831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 JACKSON AVE W STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555624",
            "telephone_number": "662-404-7177",
            "fax_number": "662-796-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 JACKSON AVE W STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555624",
            "telephone_number": "662-404-7177",
            "fax_number": "662-769-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-404-7177",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Nonso Ikebudu, DO, FACOI
• Timiko Martine Ilion, MED
• Ima at Home LLC
• Ima Medical Home Team LLC
• Impact Health LLC
• In Focus Psychiatry LLC
• Charles Inman, RPH
• Rebecca Inman, CMHC INTERN
• Internal Medicine Associates
• Internal Medicine Associates of Oxford

• Primary Care Clinic/Center in Oxford, MS
• Providers in Oxford, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.